Abstract:

Objective To systematically evaluate and synthesize qualitative studies on dietary experience of patients with inflammatory bowel disease，and to provide a reference for healthcare professionals to carry out dietary intervention. Methods A comprehensive search was conducted across the Cochrane Library，Web of Science，PubMed，Embase，CINAHL，CNKI，Wanfang Database，VIP Database and SinoMed for qualitative studies on the dietary experiences of patients with inflammatory bowel disease. The search period was from database inception to November 2024. The quality of the included literature was evaluated using the Australian Joanna Briggs Institute Center for Evidence-based Health Care Qualitative Assessment criteria for Qualitative Research（2016），and the results were integrated by integrating methods. Results A total of 10 studies were included；40 research results were extracted；15 categories were summarized. The final synthesis included 4 integrated results，including multifaceted considerations in food choice，barriers to dietary management，empirical strategies for dietary management，and positive transformations resulting from dietary management. Conclusion Patients with inflammatory bowel disease have multifaceted experiences related to diet. Healthcare professionals should place greater emphasis on dietary guidance，enhance patients’ knowledge and skills in dietary self-management，support patients’ adaptation to dietary changes and the development of individualized coping strategies，and integrate multiple resources to improve patients’ dietary experience.

Key words: Inflammatory Bowel Disease, Diet, Qualitative Research, Meta-Synthesis, Evidence-Based Nursing

摘要：

目的 系统评价与整合炎症性肠病患者饮食体验的质性研究，旨在为医护人员开展饮食干预提供参考。 方法 系统检索Cochrane Library、Web of Science、PubMed、Embase、CINAHL、中国知网、万方数据库、维普数据库、中国生物医学文献数据库，检索关于炎症性肠病患者饮食体验的质性研究，检索时限为建库至2024年11月。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究评价标准（2016版）对纳入文献进行质量评价，采用汇集性整合方法对结果进行整合。 结果 最终纳入10篇文献，提炼出40个研究结果，归纳为15个新类别，进一步整合为4个结果：食物选择的多重考量、饮食管理的障碍、饮食管理的经验性策略、饮食管理带来的正向转变。 结论 炎症性肠病患者饮食中存在多重体验，医护人员应重视饮食指导，提升患者的饮食认知与管理能力，帮助其适应饮食调整与形成个体化应对经验，并整合多方资源，改善其饮食体验。

关键词: 炎症性肠病, 饮食, 质性研究, Meta整合, 循证护理学